ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|

Trending News

New Option For Chronic Fatigue Syndrome

The Most Powerful Natural Antioxidant Discovered to Date - Hydroxytyrosol

Stop Bacteria With Nature's Antibiotics

Vitamin D Deficiency Linked to Neurological Diseases; Also Raises Risk of Asthma Attacks, and More

New Test Shows Promise in Identifying New Drugs to Treat Lyme Disease

Coenzyme Q10 Helps Veterans Battle Gulf War Illness Symptoms

Strengthen Cell Function with Energy-Boosting Niagen

Vitamin D deficiency increases poor brain function after cardiac arrest by sevenfold

Dietary Flavanols Reverse Age-Related Memory Decline

Study: Doubling saturated fat in the diet does not increase saturated fat in blood

 
Print Page
Email Article

VIDEO: Nigel Speight: ME in Children - Part 1

  [ 3 votes ]   [ Discuss This Article ]
www.ProHealth.com • February 28, 2014




Transcript courtesy of the Dutch ME/CFS Association

Seminar 32: ME & children, Part 1: Dr. Nigel Speight, consultant paediatrician. Broadcast 28th January 2014

What are the main characteristics of ME in children?

One of the most important things is that the issue is very clear cut. I find witnessing ME in children one of the most convincing arguments for this being a physical process. Because you can see a happy healthy child in a nice family, struck down out of the blue. That’s what makes it seem like a physical illness and helps us to argue against the psychiatric view of this condition, which has done so much harm for so long. The other thing is that the number of other conditions that can mimic ME in children is very small and the differential diagnosis is really quite easy. So it is not as difficult as it is in adults to be sure that the child has got ME.

Are there subgroups of children with ME?

In general children with ME can be divided into groups according to severity. The mild groups have their activity levels reduced to between 70 and 90 % of normal; the moderate have from 40 to 70 % of normal and the severe have from sort of 10 % to 40 % of normal. And then the very severe, which is a very unfortunate group of patients, is the very severe, bedridden for long periods of time and that is someone who is below 10 % of normal activity levels.

Are there different treatments for different subgroups?

The general principles of management of ME should be the same for all. That you don’t make them worse and you support them and protect them and try symptomatic treatment. And you don’t let them do too much. But some people believe in the advocacy of treatments like Graded Exercise and Cognitive Behavioural Therapy. The evidence for these has only been done in people who are mild to moderate and are ambulant. Are able to walk to clinics and be helped. There is no evidence that those management techniques should be applied to the severe group.

What should paediatricians be aware of?

When you are handling a case of paediatric ME there are a lot of things you should be aware of. For instance there is the influence of the extended family. It is very, very important that patients with ME are believed in and feel validated by all their nearest and dearest. And quite often there is a member of the family, sometimes a little bit distant, separated, a former husband, an aunt living many miles away - often a semi-professional person - who has strong views. And these people can undermine the families’ belief in the child with ME and can be very disruptive. And I think it can be important for the paediatrician to detect these problems and maybe address them by offering to speak to members of the extended family who aren’t believing.
 
Which test should paediatricians prescribe?

When a paediatrician first sees a new case of ME he should do a battery of routine tests, which would exclude all common or rare conditions that might be mimicking the condition. In addition, if they are following the child up for several years they should consider repeating that battery of tests after two or three years. Because children can still develop other conditions on top of their ME and follow up off course it is important to make sure you haven’t got the diagnosis wrong. But clinical assessment is probably more important than a large number of tests in this condition.

Copyright ME|cvs Vereniging 11




Please Discuss This Article:   Post a Comment 



[ Be the first to comment on this article ]




 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Save on Immune Support Supplements

Featured Products

FibroSleep™ by ProHealth FibroSleep™ by ProHealth
The All-in-One Natural Sleep Aid
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Optimized Curcumin Longvida® by ProHealth Optimized Curcumin Longvida® by ProHealth
Supports Cognition, Memory & Overall Health
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils

Natural Remedies

The Remarkable Benefits of Reishi Medicinal Mushrooms The Remarkable Benefits of Reishi Medicinal Mushrooms
More Weight Loss than Any Other Discovery in Supplement History More Weight Loss than Any Other Discovery in Supplement History
Protect Against Sun-Induced Skin Aging From The Inside Out Protect Against Sun-Induced Skin Aging From The Inside Out
Live Longer: Groundbreaking Research on Omega-3s Live Longer: Groundbreaking Research on Omega-3s
Rejuvenating the Brain - How PQQ Helps Power Up Mental Processing Rejuvenating the Brain - How PQQ Helps Power Up Mental Processing

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia 101
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS 101
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE
CONTACT US
PRIVACY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing